Patient Preparation
IV Solutions
Complications
Nursing Interventions
Assessment of IV
100
Length of time to clean skin insertion site.
What is 30 seconds?
100
This is the body fluid located within the blood vessels is called this.
What is Intravascular
100
This complication is known as this.
What is infiltration?
100
Your pt is complaining and saying the IV doesn't feel right, when you check it is red, warm, and tender at the IV insertion site. Name this.
What is Phlebitis?
100
The nurse is removing peripheral IV and must observe this.
What is intactness of tip?
200
You are about to teach your 9 y/o pt about IV insertion, what is the first step?
Figure out what they know
200
Lactated Ringer's is this type of fluid
What is isotonic?
200
Your pt is getting intermittent IV fluids. You assess their vitals you notice your pt has wet lungs. This could be a sign of this.
What is fluid overload?
200
You are assessing your pt's IV site and you notice it is cold and puffy at the insertion site. Tell us what this is called and give nursing intervention.
What is infiltrated? Stop IV fluid and start new IV.
200
This is the recommended frequency of hours a nurse should be assessing IV site.
What is at least every 4 hours or organizational policy?
300
Number of inches to apply tourniquet above proposed insertion site.
What is 4 to 6 inches?
300
D5 0.45 NS is this type of fluid.
What is hypertonic
300
The nurse is attempting to flush pt's peripheral IV and is unable. The nurse should not do this.
What is force the flush?
300
This is the frequency a continuous administration infusion set should be changed.
What is every 96 hours?
300
The nurse notes bleeding around dressing at peripheral IV cath insertion site should do this.
What is assess the insertion site?
400
Equipment/supplies used for peripheral IV insertion may contain substances, which is why the nurse will assess this.
What are allergies, especially to iodine, adhesive, or latex?
400
Water moves into the cells, causing them to swell with this type of IV fluid.
What is hypotonic?
400
The nurse just inserted a peripheral IV and has attached the NS flush to check patency. The nurse observe swelling at insertion site while flushing with NS. The swelling is indicative of this.
What is infiltration?
400
Nurse enters pt room and sees that IV is occluded and stops IV fluid. Name the next step.
What is determine the cause?
400
Name 3 physical assessment findings that may be affected by the administration of IV solutions that the nurse should assess.
What is: body weight, vitals, lung sounds, neck veins, cap refill, dependent edema, oral mucous membrane, LOC, urine output, IV site
500
Recommended length of time you are allowed to leave a tourniquet on
What is no longer than 1 min?
500
Isotonic solutions are used to increase this body fluid volume.
What is extracellular fluid volume? (which consists of intravascular and interstitial fluid)
500
Your patient is complaining of tingling and pins and needles sensation after insertion of peripheral IV. The nurse should consider what has happened.
What is a potential injury to the nerve?
500
Nursing intervention if your pt is experiencing circulatory overload.
What is slow IV infusion, elevate HOB and call doc
500
Name 3 areas nurse should not select for peripheral IV site. (there are multiple)
What is:
pain on palpation
compromised areas
site distal to previous venipuncture site
hardened veins
fragile dorsal hand veins in older adults
upper extremity on side of breast surgery with axillary node dissection or lymphedema or after radiation, AV fistulas, affected extremity of CVA